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An in vitro study of the effect of bony buttressing on fixation strength of a fractured atrophic edentulous mandible model.

Identifieur interne : 003794 ( PubMed/Corpus ); précédent : 003793; suivant : 003795

An in vitro study of the effect of bony buttressing on fixation strength of a fractured atrophic edentulous mandible model.

Auteurs : J W Sikes ; B R Smith ; D P Mukherjee

Source :

RBID : pubmed:10632166

English descriptors

Abstract

The purpose of this study was to measure the resistance to displacement in an adult bovine rib mandible model as the vertical dimension of the bone decreases, and to compare the fixation strength of titanium miniplates and reconstruction plates.

PubMed: 10632166

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pubmed:10632166

Le document en format XML

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<title xml:lang="en">An in vitro study of the effect of bony buttressing on fixation strength of a fractured atrophic edentulous mandible model.</title>
<author>
<name sortKey="Sikes, J W" sort="Sikes, J W" uniqKey="Sikes J" first="J W" last="Sikes">J W Sikes</name>
<affiliation>
<nlm:affiliation>Division of Oral and Maxillofacial Surgery, Louisiana State University Medical Center at Shreveport, LA 71130, USA. JSIKES225@aol.com</nlm:affiliation>
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<author>
<name sortKey="Smith, B R" sort="Smith, B R" uniqKey="Smith B" first="B R" last="Smith">B R Smith</name>
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<author>
<name sortKey="Mukherjee, D P" sort="Mukherjee, D P" uniqKey="Mukherjee D" first="D P" last="Mukherjee">D P Mukherjee</name>
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<title xml:lang="en">An in vitro study of the effect of bony buttressing on fixation strength of a fractured atrophic edentulous mandible model.</title>
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<name sortKey="Sikes, J W" sort="Sikes, J W" uniqKey="Sikes J" first="J W" last="Sikes">J W Sikes</name>
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<nlm:affiliation>Division of Oral and Maxillofacial Surgery, Louisiana State University Medical Center at Shreveport, LA 71130, USA. JSIKES225@aol.com</nlm:affiliation>
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<name sortKey="Smith, B R" sort="Smith, B R" uniqKey="Smith B" first="B R" last="Smith">B R Smith</name>
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<name sortKey="Mukherjee, D P" sort="Mukherjee, D P" uniqKey="Mukherjee D" first="D P" last="Mukherjee">D P Mukherjee</name>
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<title level="j">Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</title>
<idno type="ISSN">0278-2391</idno>
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<date when="2000" type="published">2000</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Alveolar Bone Loss (complications)</term>
<term>Alveolar Bone Loss (physiopathology)</term>
<term>Animals</term>
<term>Bite Force</term>
<term>Bone Plates</term>
<term>Bone Screws</term>
<term>Cattle</term>
<term>Dental Stress Analysis</term>
<term>Equipment Failure Analysis</term>
<term>Fracture Fixation, Internal (instrumentation)</term>
<term>Fracture Fixation, Internal (methods)</term>
<term>Humans</term>
<term>Jaw, Edentulous (complications)</term>
<term>Jaw, Edentulous (physiopathology)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Mandibular Fractures (complications)</term>
<term>Mandibular Fractures (physiopathology)</term>
<term>Mandibular Fractures (surgery)</term>
<term>Models, Structural</term>
<term>Ribs</term>
<term>Stress, Mechanical</term>
<term>Vertical Dimension</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
<term>Mandibular Fractures</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Fracture Fixation, Internal</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Fracture Fixation, Internal</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Jaw, Edentulous</term>
<term>Mandibular Fractures</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Mandibular Fractures</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Animals</term>
<term>Bite Force</term>
<term>Bone Plates</term>
<term>Bone Screws</term>
<term>Cattle</term>
<term>Dental Stress Analysis</term>
<term>Equipment Failure Analysis</term>
<term>Humans</term>
<term>Models, Structural</term>
<term>Ribs</term>
<term>Stress, Mechanical</term>
<term>Vertical Dimension</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">The purpose of this study was to measure the resistance to displacement in an adult bovine rib mandible model as the vertical dimension of the bone decreases, and to compare the fixation strength of titanium miniplates and reconstruction plates.</div>
</front>
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<DateCompleted>
<Year>2000</Year>
<Month>01</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised>
<Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0278-2391</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>58</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2000</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</Title>
<ISOAbbreviation>J. Oral Maxillofac. Surg.</ISOAbbreviation>
</Journal>
<ArticleTitle>An in vitro study of the effect of bony buttressing on fixation strength of a fractured atrophic edentulous mandible model.</ArticleTitle>
<Pagination>
<MedlinePgn>56-61; discussion 62</MedlinePgn>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The purpose of this study was to measure the resistance to displacement in an adult bovine rib mandible model as the vertical dimension of the bone decreases, and to compare the fixation strength of titanium miniplates and reconstruction plates.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Five groups of 6 ribs each were tested based on the vertical dimension of the rib and method of fixation (group 1, 40 mm, miniplate), (group 2, 30 mm, miniplate), (group 3, 20 mm, miniplate), (group 4, 10 mm, miniplate), (group 5, 10 mm, reconstruction plate). In the 4 groups stabilized with a miniplate, a 3-hole-per-segment, 2.0-mm titanium miniplate and 6.0-mm monocortical titanium screws were used. In group 5, a 3-screw-per-segment, 2.4-mm titanium reconstruction plate and 2.4-mm bicortical titanium screws were used for fixation. A 2-dimensional beam model (Class III lever) was established, and an Instron machine was used initially to develop a load-displacement curve to 100 N for each specimen. An osteotomy was then created, and the segments were reduced without preload. The ribs were then loaded to failure in the Instron machine. The load-displacement curve and failure load were recorded.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">There was no significant difference (P < or = .05) between any of the groups before the osteotomy. At 75 N, groups 1 and 2 were superior to group 5 in resistance to displacement. Group 4 showed significantly less (P < or = .05) resistance to displacement than the other experimental miniplated subgroups. As loads increased, groups 1 and 2 continued to show increased resistance to displacement when compared with groups 3, 4, and 5. Loads to failure for groups 1 and 2 were comparable to group 5.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Decreased resistance to displacement occurs with decreasing vertical dimension of the bovine rib. In fractures of the edentulous mandible, a miniplate is more likely to provide adequate fixation if the mandible is 30 to 40 mm in height (nonatrophic). At higher loads, groups with greater vertical height (30 mm and 40 mm) provided resistance to displacement equivalent to the 10-mm group repaired with a reconstruction plate. Therefore, fractures of the atrophic mandible may be better treated with more rigid techniques.</AbstractText>
</Abstract>
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<Affiliation>Division of Oral and Maxillofacial Surgery, Louisiana State University Medical Center at Shreveport, LA 71130, USA. JSIKES225@aol.com</Affiliation>
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<DescriptorName UI="D001732" MajorTopicYN="N">Bite Force</DescriptorName>
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<DescriptorName UI="D001860" MajorTopicYN="Y">Bone Plates</DescriptorName>
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<DescriptorName UI="D001863" MajorTopicYN="N">Bone Screws</DescriptorName>
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<DescriptorName UI="D019544" MajorTopicYN="N">Equipment Failure Analysis</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName>
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<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<DescriptorName UI="D013314" MajorTopicYN="N">Stress, Mechanical</DescriptorName>
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<DescriptorName UI="D014716" MajorTopicYN="N">Vertical Dimension</DescriptorName>
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